Evidence map›Paper›PMID 33719213›Full record

ArticleMolecular genetics & genomic medicine2021

Co-occurrence of orofacial clefts and clubfoot phenotypes in a sub-Saharan African cohort: Whole-exome sequencing implicates multiple syndromes and genes.

Lord J J Gowans, Noura Al Dhaheri, Mary Li, Tamara Busch, Solomon Obiri-Yeboah, Alexander A Oti, Daniel K Sabbah, Fareed K N Arthur, Waheed O Awotoye, Azeez A Alade and 8 more

Open access · goldAbstract read
In one paragraph

Article in Molecular genetics & genomic medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 4 institutions in 3 countries.

Lord J J GowansDepartment of Biochemistry and Biotechnology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID 0000-0003-0080-9101
Noura Al DhaheriDepartment of Medical Genetics, John Hopkins University, Baltimore, MD, USA.
Mary LiDepartment of Oral Pathology, Radiology and Medicine, University of Iowa, Iowa City, IA, USA.
Tamara BuschDepartment of Oral Pathology, Radiology and Medicine, University of Iowa, Iowa City, IA, USA.
Solomon Obiri-YeboahDepartment of Oral and Maxillofacial Sciences, Dental School, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Alexander A OtiDepartment of Oral and Maxillofacial Sciences, Dental School, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Daniel K SabbahDepartment of Orthodontics and Child Oral Health, Dental School, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Fareed K N ArthurDepartment of Biochemistry and Biotechnology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Waheed O AwotoyeDepartment of Oral Pathology, Radiology and Medicine, University of Iowa, Iowa City, IA, USA.
Azeez A AladeDepartment of Oral Pathology, Radiology and Medicine, University of Iowa, Iowa City, IA, USA.ORCID 0000-0001-9176-0221
Peter TwumasiDepartment of Biochemistry and Biotechnology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Pius AgbenorkuDepartment of Surgery, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Gyikua Plange-RhuleDepartment of Child Health, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Thirona NaickerDepartment of Pediatrics, University of KwaZulu-Natal, South Africa.
Peter DonkorDepartment of Oral and Maxillofacial Sciences, Dental School, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Jeffrey C MurrayDepartment of Pediatrics, University of Iowa, Iowa City, IA, USA.
Nara L M SobreiraDepartment of Medical Genetics, John Hopkins University, Baltimore, MD, USA.
Azeez ButaliDepartment of Oral Pathology, Radiology and Medicine, University of Iowa, Iowa City, IA, USA.ORCID 0000-0002-1229-5964
Kwame Nkrumah University of Science and Technology · GHUniversity of Iowa · USJohns Hopkins University · USUniversity of KwaZulu-Natal · ZA

Funding

Molecular Genetic Epidemiology of Cleft Lip and PalateR37DE008559 · NIDCR · UNIVERSITY OF IOWA · PI MURRAY, JEFFREY C · 2004 to 2013
$6.8M
Whole Genome Sequencing for Orofacial Clefts, Incidental Findings and Role of Community GatekeepersR01DE028300 · NIDCR · UNIVERSITY OF IOWA · PI BUTALI, AZEEZ · 2020 to 2024
$3.9M
University of Iowa Institutional Training Program in Oral Health ResearchR90DE024296 · NIDCR · UNIVERSITY OF IOWA · PI STEVEN M. LEVY · 2013 to 2026
$1.8M
Genetic studies of nonsyndromic clefts in populations of African Descent.R00DE022378 · NIDCR · UNIVERSITY OF IOWA · PI BUTALI, AZEEZ · 2014 to 2016
$747k
Elucidating Cleft Etiology Employing Multiplex and Twin Families (ElCEEMuTF)K43DE029427 · NIDCR · KWAME NKRUMAH UNIVERSITY/SCIENCE/TECH · PI GOWANS, LORD JEPHTHAH JOOJO · 2019 to 2023
$529k
NIDCR NIH HHS K43 DE029427NIDCR NIH HHS R00 DE022378NIDCR NIH HHS R01 DE028300NIDCR NIH HHS R37 DE008559NIDCR NIH HHS R90 DE024296
6 · The paper itself

Abstract

backgroundOrofacial clefts (OFCs) are congenital malformations of the face and palate, with an incidence of 1 per 700 live births. Clubfoot or congenital talipes equinovarus (CTEV) is a three-dimensional abnormality of the leg, ankle, and feet that leads to the anomalous positioning of foot and ankle joints and has an incidence of 1 per 1000 live births. OFCs and CTEV may occur together or separately in certain genetic syndromes in addition to other congenital abnormalities. Here, we sought to decipher the genetic etiology of OFC and CTEV that occurred together in six probands.

methodsAt the time of recruitment, the most clinically obvious congenital anomalies in these individuals were the OFC and CTEV. We carried out whole-exome sequencing (WES) on DNA samples from probands and available parents employing the Agilent SureSelect XT kit and Illumina HiSeq2500 platform, followed by bioinformatics analyses. WES variants were validated by clinical Sanger Sequencing.

resultsOf the six probands, we observed probable pathogenic genetic variants in four. In three probands with probable pathogenic genetic variants, each individual had variants in three different genes, whereas one proband had probable pathogenic variant in just one gene. In one proband, we observed variants in DIS3L2, a gene associated with Perlman syndrome. A second proband had variants in EPG5 (associated with Vici Syndrome), BARX1 and MKI67, while another proband had potentially etiologic variants in FRAS1 (associated with Fraser Syndrome 1), TCOF1 (associated with Treacher Collins Syndrome 1) and MKI67. The last proband had variants in FRAS1, PRDM16 (associated with Cardiomyopathy, dilated, 1LL/Left ventricular noncompaction 8) and CHD7 (associated with CHARGE syndrome/Hypogonadotropic hypogonadism 5 with or without anosmia).

conclusionOur results suggest that clubfoot and OFCs are two congenital abnormalities that can co-occur in certain individuals with varying genetic causes and expressivity, warranting the need for deep phenotyping.

Indexed as

Genetic HeterogeneityAdultAfrica South of the SaharaAutophagy-Related ProteinsChild, PreschoolCleft LipCleft PalateClubfootDNA-Binding ProteinsDNA HelicasesExtracellular Matrix ProteinsFemaleHomeodomain ProteinsHumansInfantInfant, NewbornAutophagy-Related ProteinsBARX1 protein, humanCHD7 protein, humanDNA-Binding ProteinsDNA HelicasesEPG5 protein, humanExtracellular Matrix ProteinsFRAS1 protein, humanHomeodomain ProteinsKi-67 AntigenMKI67 protein, humanPRDM16 protein, humanTranscription FactorsVesicular Transport Proteinsclubfootgenetic syndromesorofacial cleftswhole-exome sequencing

Identifiers

PMID33719213
PMCPMC8123728
OpenAlexW3138976010

What Socratic holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.